The nurse explains to the client that therapy will be a long process. Which is a realistic outcome for a client with a personality disorder engaging in therapy?

Outcomes that focus on change in behavior

Outcomes that focus on satisfaction with daily life

Outcomes that focus on increased medication adherence

Outcomes that focus on the client's perception of others

Answer and Explanation

The Correct Answer is A

A. Outcomes that focus on change in behavior: Therapy for personality disorders emphasizes gradual behavioral change, such as improved coping skills, communication, and interpersonal interactions. These measurable and realistic goals are central to treatment.

B. Outcomes that focus on satisfaction with daily life: While improved life satisfaction may occur over time, it is not a primary or realistic early outcome because personality disorders involve deeply ingrained patterns that change slowly.

C. Outcomes that focus on increased medication adherence: Medications may help with symptom management, but they are not the core treatment for personality disorders. The focus is on psychotherapy and behavioral modification.

D. Outcomes that focus on the client's perception of others: Altering deep-seated perceptions and beliefs is difficult and not a realistic short-term outcome. Behavioral adjustments are more achievable than changing ingrained cognitive patterns.

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Correct Answer is A

Explanation

A. "Are the voices telling you to harm yourself or someone else?": This response directly assesses for command hallucinations, which may increase the risk of self-harm or violence. Safety is the priority, and clarifying the content of the hallucinations helps guide immediate interventions.

B. "The voices are not real or we would both hear them.": This approach challenges the client’s perception and can increase defensiveness or mistrust. Denying the hallucination does not promote therapeutic communication or ensure safety.

C. "Why are the voices talking to only you?": This response is non-therapeutic and may make the client feel ridiculed or invalidated. It does not provide support or assess the potential danger of the hallucinations.

D. "Why didn't you ask the voices to go away?": This places responsibility on the client to control the hallucination, which they cannot do. It is dismissive of the distress they are experiencing and fails to address safety concerns associated with auditory hallucinations.

A. "AIDS isn't transmitted by casual contact." B. "You can't normally contract AIDS in a hospital setting." C. "Your immune system is likely very healthy." D. "Do you think that you might already have HIV?"

Correct Answer is A

Explanation

A. "AIDS isn't transmitted by casual contact.": HIV is transmitted through direct contact with certain body fluids (blood, semen, vaginal secretions, breast milk) and not through casual contact such as touching, hugging, or sharing objects with someone who has AIDS.

B. "You can't normally contract AIDS in a hospital setting.": While generally true due to universal precautions, this statement is vague and may not fully educate the visitor about transmission routes. It could give a false sense of security without clarifying the nature of HIV transmission.

C. "Your immune system is likely very healthy.": This does not address the visitor’s concern about HIV transmission and may be misleading. The question is about risk, not the visitor’s immune status.

D. "Do you think that you might already have HIV?": This response is inappropriate and judgmental. It does not provide education or reassurance and could create unnecessary anxiety or stigma.

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The nurse explains to the client that therapy will be a long process. Which is a realistic outcome for a client with a personality disorder engaging in therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with Schizophrenia states, "The voices won't leave me alone!" Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client hospitalized with AIDS. A friend comes to visit the client and privately asks the nurse about the risk of contracting HIV when visiting the client. What is the nurse's best response?

Correct Answer is A

Explanation

The nurse is creating a plan of care for a client with schizophrenia. Which nursing intervention will the nurse perform first when caring for this client?

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The nurse is preparing a plan of care for a client with dependent personality disorder and assigns an outcome to increase problem-solving skills. Which client behavior would indicate progress toward meeting that outcome?

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